Organization Active NPI

Cardio - Thoracic & Vascular Surgery Inc

  • Specialist
  • Springfield, MA
National Provider Identifier
1689875288
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36381 Issued in MA
Legal business name
CARDIO - THORACIC & VASCULAR SURGERY INC
Practice address
2 Medical Center Dr Suite 104
Springfield, MA 01107
Phone
(413) 737-4715
Fax
(413) 737-4875
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark M Sherman, MD
Title
Doctor
Phone
(413) 737-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36381 MA Primary

Addresses

Primary practice location

2 Medical Center Dr Suite 104
Springfield, MA 01107

Mailing address

2 Medical Center Dr Suite 104
Springfield, MA 01107
Phone (413) 737-4715

Other identifiers 2

IdentifierTypeStateIssuer
2017857MedicaidMA
9731571MedicaidMA

National Provider Directory

National Provider Directory

Locations

2 Medical Center Dr
Ste 104
Springfield, MA 01107
Phone (413) 737-4715

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1689875288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-737-4715",
            "fax_number": "413-737-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-737-4715",
            "fax_number": "413-737-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO - THORACIC & VASCULAR SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "413-737-4715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "36381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017857",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731571",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.